County Of Sacramento

Specialty details in registry · Sacramento, CA

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At a glance

2188 Stockton Blvd, Sacramento, CA 95817-1337

NPPES record updated Sep 11, 2025. Public records can lag behind changes at a practice.

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Insurance participation and appointment availability are not established by these public records.

Practice location

2188 Stockton Blvd Suite 1
Sacramento, CA 95817-1337
Professional details: NPI, taxonomy & registry record
NPI1760685648
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Registry details

Primary taxonomy
Specialty details in registry
Taxonomy code
261QM0855X
Enumeration date
Jun 7, 2007
Record updated
Sep 11, 2025
More registry details
Provider type
Organization · Type 2
Other reported name
<UNAVAIL>

Reported taxonomies and licenses

Specialty details in registry

261QM0850X

Specialty details in registry

261QM0855X · Primary

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

2188 Stockton Blvd
Suite 1
Sacramento, CA 95817-1337
Phone
(916) 875-1000
Fax
(916) 875-1002
Mailing address
7001 EAST PKWY # A
SUITE 400
SACRAMENTO, CA 958232501
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

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